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. 2021 Feb 4;11:612422. doi: 10.3389/fneur.2020.612422

Table 2.

New proposals of holistic treatments to contrast neuroinflammation in glaucoma.

New therapies Authors Upregulation Downregulation
Antioxidants: Tempol Yang et al. (72) IL-13, IL-4, IL-6 Modulation of NF-κB signaling: decrease of TNF-α, IFN-γ, IL-1β, IL-2, IL-1α
Ketogenic diet Harun-Or-Rashid et al. (73);
Lu et al. (74);
Shimazu et al. (75)
- Activation of Nrf2
- Increase of anti-inflammatory agents IL-4 and Arginase-1
- Increase of hydroxycarboxylic acid receptor 1 (HCAR1)
- Increased levels of Arrestin β-2 protein, required for HCAR1 signaling
- Increased GABAergic output and lowered presynaptic excitatory neurotransmitter release
- Stimulation of HCAR2
Inhibition of
- AMPK phosphorylation
- Iba1 expression
- NLRP3 inflammasome HCAR1-mediated
- Oxidative stress by increased FOXO3A and MT2 activity
- Class I histone deacetylases
- NF-κB p65 nuclear translocation
Coriolus Versicolor and Hericium Erinaceus (Mushrooms) Trovato Salinaro et al. (76) IL-6, interferons immunoglobulin G, macrophages, T-lymphocytes, expression of Hsp70, TRX, HO-1 - Increase of Lipoxin A4 (endogenous eicosanoid) which blocks the production of pro-inflammatory mediators (ROS/RNS)
- Stimulation NGF synthesis: modulation of cholineacetyltransferase + acetylcholinesterase
Hydrophilic Saffron extract (Crocus sativus) Fernandez-Albarral et al. (77) Inversion of OHT-induced down regulation of P2RY12 - Reduction of morphological signs of microglia activation
- Reduction of various neurotoxic molecules (TNF-α, IL-β)
- Suppression caspase-3 and caspase-9 activities: prevention of retinal ganglion cell death
- Reduction of ROS: increase of blood flow in the retina and choroid